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Curr Cardiol Rev. 2009 Nov;5(4):312-22. doi: 10.2174/157340309789317841.

The use of exercise echocardiography in the evaluation of mitral regurgitation.

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Department of Medicine, Division of Cardiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.


Mitral regurgitation (MR) is the second most common valvular disease in western countries after aortic stenosis. Optimal management of patients with MR depends on the etiology of the regurgitation and is based predominantly on left ventricular function and functional status. Recent outcome studies report high risk subsets of asymptomatic patients with MR, and practice guidelines underscore the importance of a well-established estimation of exercise tolerance and recommend exercise testing to objectively assess functional status and hemodynamic factors.


Stress echocardiography; cardiac resynchronization therapy.; mitral regurgitation; mitral valve

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